Change Form

If you change your child’s program other than at the beginning of the month, you will be charged at the higher program rate for the entire month.

Change to the Full Day program for the month of June only is not possible. 

Program changes will result in a change fee of $10 (first 2 changes per contract) or $50 (3 or more changes per contract).

Child's Name (required)

Your Name (required)

Your Email (required)

Campus (required)

Select the information you wish to change, then complete the appropriate form areas below.
 Account Information Address Information Other Information

Account Information

Effective Date(required)

Select Current Program

Select New Program

*For elementary, only SD and FD programs are available.

Address Information

New Address


Zip Code

New Phone (Home)

Father's Phone
 Work Cell

Mother's Phone
 Work Cell

Other Information